Active trachoma and associated risk factors among children in Baso Liben District of East Gojjam, Ethiopia
Active trachoma and associated risk factors among children in Baso Liben District of East Gojjam, Ethiopia
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DOI：
10.1186/1471-2458-12-1105
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发表时间：
2012-12-22
影响因子：
4.5
通讯作者：
Muluye, Dagnachew
中科院分区：
文献类型：
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作者：
Ketema, Kassahun;Tiruneh, Moges;Muluye, Dagnachew
背景：沙眼是世界范围内可预防性失明的主要原因。这在社会经济贫困地区很常见。本研究的目的是评估活动性沙眼和相关的危险因素在儿童1-9岁在东Gojjam.Methods：以社区为基础的横断面研究进行了巴索利本区从2012年2月至4月。采用两阶段随机整群抽样技术，根据简化的WHO 1983分类，对每个家庭的所有1-9岁儿童进行沙眼临床评估。研究方法为半结构式访谈、预测问卷和观察。结果：792例沙眼筛查儿童（其中女童占50.6%）中，活动性沙眼的总患病率为24.1%，TF和TI的患病率分别为17.2%和6.8%（95%CI：14.8，20.1）。居住在低地（29.3%）和中等土地（21.4%）的儿童之间存在差异。在多变量分析中，低月收入（AOR =调整的比值比）2.98; 95% CI（置信区间）：1.85-7.85），文盲家庭（AOR = 5.18; 95%CI：2.92-9.17）;面部不洁（AOR = 18.68; 95%CI：1.98-175.55）;可获得水源（AOR = 2.01; 95% CI：1.27-3.15）;用水量少于20 L（AOR = 4.88; 95% CI：1.51-15.78）;不使用肥皂洗脸（AOR = 5.84; 95% CI：1.98-17.19）;不经常使用厕所（AOR = 1.75; 95% CI：0.01-0.42）;蝇密度（AOR = 3.77; 95% CI：2.26-6.29）;知识较少的家庭（AOR = 3.91; 95%CI：2.40-6.38）和平均月收入（AOR = 2.98，95%CI：1.85-7.85）与沙眼独立相关。活动性沙眼是1-9岁儿童的主要公共问题，与许多危险因素显著相关。应加强面部卫生意识、环境卫生、抗生素的发放和沙眼传播与预防的健康教育。
Background: Trachoma is the leading cause of preventable blindness worldwide. It is common in areas where the people are socio-economically deprived. The aim of this study was to assess active trachoma and associated risk factors among children 1-9 years in East Gojjam.Methods: Community-based cross-sectional study was conducted in Baso Liben District from February to April 2012. A two-stage random cluster-sampling technique was employed and all children 1-9 years old from each household were clinically assessed for trachoma based on simplified WHO 1983 classification. Data were collected by using semi-structured interview, pre-tested questionnaire and observation. The data were entered and analyzed using SPSS version 16 statistical package.Results: From a total of 792 children screened for trachoma (of which 50.6% were girls), the overall prevalence of active trachoma was 24.1% consisting of only 17.2% [95% CI: 14.8, 20.1] TF and 6.8% TI. There were variations among children living in low land (29.3%) and in medium land (21.4%). In multivariate analysis, low monthly income (AOR = adjusted odds ratio) 2.98; 95% CI (confidence interval): 1.85-7.85), illiterate family (AOR = 5.18; 95% CI: 2.92-9.17); unclean face (AOR = 18.68; 95% CI: 1.98-175.55); access to water source (AOR = 2.01; 95% CI: 1.27-3.15); less than 20 liters of water use (AOR = 4.88; 95% CI: 1.51-15.78); not using soap for face washing (AOR = 5.84; 95% CI: 1.98-17.19); not using latrine frequently (AOR = 1.75; 95% CI: 0.01-0.42); density of flies (AOR = 3.77; 95% CI: 2.26-6.29); less knowledgeable family (AOR = 3.91; 95% CI: 2.40-6.38) and average monthly income (AOR = 2.98; 95% CI: 1.85-7.85) were found independently associated with trachoma.Conclusion: Active trachoma is a major public problem among 1-9 years children and significantly associated with a number of risky factors. Improvement in awareness of facial hygiene, environmental conditions, mass antibiotic distribution and health education on trachoma transmission and prevention should be strengthened in the District.